015
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton ~
Sue Rose .t)
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Date Received:
FOIL Ser. #:
DEPARTMENT: \../
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'ACCOUNTING 0
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CODE ENFORCEMENT ~ l.O
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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FOR DEPARTMENT USE ONLY
Date Received by Dept J ~(~1Il1t2. (J: ~,~." .
Department Head approval: 'CS/
Date Applicant Contacted: -1 / C}K; C2!! ( (
Date FOIL fulfilled or denied: ~df2.1 /
Closed by: ~
Date: -1- ~ ~L I
Notes: ~ " '
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Amount Du!:: . Pages for a total of $ I
o check here if you are,
requesting that the records
be mailed to this address.
Name: ~
Address: .,..e
v,'1. 70
Agency or firm.: A1 S' ~
Telephone #: (~b ~ ':ra .- -!tf7J. F.(\X #: (
. Email address: 5W. n lTJi Siiii4TV <.\, C ~ '"
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FORMAT OF RECORD (if available)
o I request to be notified when 1 can come to inspect the record(s) described above
o I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
o I request that the records be sent via e-mail to the address listed above
o 1 request that the records be faxed to the number listed above